liothyronine sodium, Cytomel, Triostat

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

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What is liothyronine sodium, and how does it work (mechanism of action)?

Liothyronine sodium is a synthetic (man-made) version of one of the two hormones made by the thyroid gland, triiodothyronine. It is used for treating individuals who are hypothyroid (do not produce enough thyroid hormones). Thyroid hormones increase the metabolism (activity) of all cells in the body. In the fetus, newborn infant and child, thyroid hormones promote growth and development of tissues. In adults, thyroid hormones help to maintain the function of the brain, the use of food by the body, and body temperature. The FDA approved liothyronine in May 1956.

What brand names are available for liothyronine sodium?

Cytomel, Triostat

Is liothyronine sodium available as a generic drug?

GENERIC AVAILABLE: Yes

Do I need a prescription for liothyronine sodium?

Yes

What are the side effects of liothyronine sodium?

Liothyronine therapy generally is well-tolerated. If symptoms occur, they usually occur because there are toxic (too high) levels of thyroid hormone (hyperthyroidism).

Symptoms of hyperthyroidism include:

Women also may experience irregular menstrual cycles.

Since thyroid hormone affects heart rate and metabolism, the impact of treatment of thyroid hormone on the control of diseases such as atrial fibrillation, diabetes and high cholesterol levels always should be considered.

Thyroid Quiz: Test Your Medical IQ

What is the dosage for liothyronine sodium?

The usual starting dose of liothyronine for treating hypothyroidism is 5 to 25 mcg per day. The dose then is adjusted based on the patient's response and the blood levels of thyroid hormone. Optimal liothyronine doses are different for each patient and vary depending on the patient's age, weight, symptoms, blood levels of thyroid hormone and underlying conditions such as heart disease. Individuals who are hypothyroid will require thyroid hormone for life.

Which drugs or supplements interact with liothyronine sodium?

Thyroid hormone affects the body's handling of many drugs. Generally, hypothyroidism (decreased concentration of thyroid hormone) reduces the effects of the body on drugs (metabolism of drugs) while hyperthyroidism (increased concentration of thyroid hormone) increases the effects. Therefore, individuals who are hypothyroid will eliminate drugs more slowly, and those with hyperthyroidism will eliminate drugs faster compared with individuals with normal levels of thyroid hormone.

This principle also applies to the metabolism of drugs that must be metabolized (changed) by the body into their active forms in order to have an effect. Therefore, liothyronine and other thyroid hormones may change the action of many drugs. The elimination of theophylline (Theo-Dur) and similar drugs increases as the dose of thyroid hormone increases. Individuals who are hypothyroid have slower theophylline elimination. Therefore, when the concentration of thyroid hormone is returned to normal with liothyronine, the elimination of theophylline is increased. This reduces the concentration of theophylline in the body and can reduce the effectiveness of theophylline. Patients who are treated for thyroid conditions and who are taking theophylline should have their blood concentration of theophylline monitored, and doses of theophylline should be adjusted as necessary.

Cholestyramine (Questran) binds liothyronine and other thyroid in hormones in the intestine, reducing the absorption and levels of liothyronine. Thyroid hormones should not be administered for 4 to 5 hours after administering cholestyramine.

The administration of liothyronine increases the action of the blood thinning drug, warfarin (Coumadin). Warfarin acts by reducing the concentration of factors in the body that are necessary for blood to clot. The concentration of these clotting factors in the body is determined by the body's rate of metabolism. In theory, by increasing the body's metabolism (elimination) of these clotting factors, thyroid hormones reduce the body's ability to clot and therefore enhance the effects of warfarin. Since this can lead to excessive bleeding, the dose of warfarin may need to be reduced.

Is liothyronine sodium safe to take if I'm pregnant or breastfeeding?

Thyroid hormones do not easily cross the placenta and, therefore, are safe for pregnant women to take.

Very small amounts of thyroid hormone may be excreted in breast milk. This is not a serious problem for breastfed infants.

What else should I know about liothyronine sodium?

What preparations of liothyronine sodium are available?

Tablets: 5, 25, and 50 mcg. Injection: 10 mcg/ml

How should I keep liothyronine sodium stored?

Tablets should be stored at room temperature 20 C - 25 C (68 F - 77 F) and the injectable preparation between 2 C - 8 C (36 F - 46 F )

Reference: FDA Prescribing Information

Thyroid Quiz: Test Your Medical IQ

Summary

liothyronine sodium (Cytomel, Triostat) is a drug prescribed for the treatment of hypothyroidism in adults and children. Side effects, dosage, warnings and precautions, and pregnancy safety should be reviewed prior to taking any medication.

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Reviewed on 1/28/2015
References
Reference: FDA Prescribing Information

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